IRINA JOSEPHOVNA PICHKHADZE

JACKSONVILLE, FL
NPI1699740100
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9103405)
Enumeration Date2006-02-19
Last Update Date2007-07-08
Business Address
Ms. IRINA JOSEPHOVNA PICHKHADZE PA-C
580 W 8TH ST UFJP PLASTIC SURGERY
JACKSONVILLE, FL 32209-6533
Phone number: 904-244-9714
Mailing Address
Ms. IRINA JOSEPHOVNA PICHKHADZE PA-C
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: 904-244-3199
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